Kid's Soccer Registration

 

VBH Soccer Arena , PO Box 8832, Elkridge, MD 21075

 

Youth League Registration for ________________________ league

 

 

Check One

Youth League

League Fee 

Howard
County 5%
Amusement
Tax

Refs

Total Cost
(Note: $40 late fee
if paid after deadline)

 

8 Week Winter Youth Rec League

$500

$25

$104

$629

 

6 Week Winter Youth Rec League

$375

$18.75

$78

$471.75

 

Team Name: ___________________________________

 

Age Group: ___________________________________

 

Skill Level and Soccer Association/Club (if any) ___________________________________

 

Gender (Circle one):    Boys    Girls    COED

 

Coach: __________________________________

 

Alternate contact name and phone: ___________________________________________________________

 

Coach's Email: ___________________________   Backup email:________________________

 

Coach’s Phone: home ________________ work _______________ cell _______________

 

Special Requests for Bye's or other special scheduling:

 

__________________________________________________________________________

 

(Please note - we must give each team their fair share of late and early games)

 

Registration fee and tax included:  ______________

 

Pre-Paid Referee Fees (optional)    ______________